Patient assistance
May provide REMICADE at no cost for up to one year to eligible patients with no or inadequate coverage who meet income and other program criteria.
What it does
Evaluates coverage adequacy, household income, US residence, outpatient prescriber, and prescription information. Additional criteria can apply to Medicare Part D applicants.
Open official program pagePotentially available to eligible US patients with no insurance or inadequate commercial, employer, or government coverage who meet current income and application criteria.
Complete the current assistance application.
Provide household-income evidence.
Provide insurance, denial, subsidy, or out-of-pocket evidence as applicable.
Call the immunology patient-assistance line for screening and the current medicine-specific application. Patient and prescriber submit their sections with income, insurance, and prescription records.
Best for: Patients who may lack adequate REMICADE coverage
Provide the requested prescription, insurance, contact, and consent information.
Owner: Patient or caregiver
Have ready: Prescription details, Insurance card, Prescriber contact information
Patient, Prescriber And Clinic Staff, Johnson & Johnson Patient Assistance Program, Infusion Provider
REMICADE withMe
Savings, benefits, access, infusion-site, Case Manager, and patient-assistance support.
Monday-Friday, 8 AM-8 PM ET
Current J&J immunology materials describe core patient-assistance criteria.
Official patient-facing cost-support page.
Complete the provider section and valid REMICADE prescription.
Best for: Services requiring clinical information, a prescription, or prescriber attestation
Patient completes demographics and the authorization/consent section of the official form.
Owner: Patient
Have ready: Contact information, Signature and date
Prescriber completes the prescription, clinical, insurance, and service-selection sections and attaches supporting records.
Owner: Prescriber or clinic staff
Have ready: Patient authorization, Income evidence, Coverage evidence, Provider certification, Prescription
After enrollment: If approved, the program communicates product ordering and infusion fulfillment instructions.
If there is a problem: Call to identify missing income, insurance, Medicare, provider, prescription, or signature information.
